HOW TO APPROACH ACUTES IN PRACTICE

HOW TO APPROACH ACUTES IN PRACTICE
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How to Approach acutes in practic

– A lecture by Dr. Gajanan Dhanipkar

Dr. Gajanan Dhanipkar, a Consultant and Faculty, the other song, is a successful practitioner. His thriving practice consists of several amazingly treated cases especially in the acute and pediatric cases. The following article is an extract from one of his lectures conducted at the other song academy, where he has shared his secrets of treating acute cases successfully. Dr. Gajanan, emphasized the necessity of individual approaches as per the demand of every single case. As he said, the physician needs to be observant through the case, so as to ensure the right entry point. A seasoned physician has at his disposal varying approaches, through which he can fully elicit the case and optimally analyze it. A few approaches which come in very handy especially in acute cases and can form the basis for an individualistic prescription are depicted in the diagram below:

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Dr. Gajanan said that in acute cases, we must first treat the patient’s out of proportion reaction to the illness, and then utilize the objective symptoms, which are free of interpretation. The process of case taking begins right from the time the patient enters the clinic and does not stop till he exits.

Following he mentions as requisites for acute prescribing:

  • Ardent observation skills
  • Diagnosis with detailed investigation about the disease with respect to pathology, prognosis and course of illness
  • Cause of disease
  • State of patient
  • Physical examination
  • Remedy
  • Auxiliary measures of treatment

He explained the practical utility of these points through a case from his practice of a child who was brought to him in a collapsed condition with fever. He had developed severe bronchitis along with fever. The child appeared drowsy with eyes half open and experienced difficulty in breathing. On observation, there was redness of face. The child looked intoxicated and according to the mother was dull through the day, even soon after waking and always preferred to lie down. He was unable to sleep at night on account of breathlessness and fever. He wished to have his parents beside him all the time. During fever, he desiredto be covered and disliked the draft of AC or fan. His thirst was greatly diminished, however he had a few sips when water was offered to him. On interrogation, he responded only with weak gestures or a nod to indicate a yes or no. The child appeared very weak and according to mother was quite mild and yielding. On examination, his hands were warm but the feet were cold.

In this case, the most striking feature was the appearance of the child. As soon as he entered clinic, he had to lied. . He was in a state of torpor, dullness and drowsiness. Torpor by definition is a state of mental or physical inactivity; lethargy, numbness; sluggishness.

Rubrics considered were:

  1. Dullness, heat during
  2. Concomitants, face red
  3. Fever, covers, warmth agg
  4. Thirst, little sips
  5. Torpor
  6. Delirium, fever during
  7. Desires company
  8. Mildness
  9. Answers in nods
  10. Heat in upper extremities

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(Complete Repertory, copyright @Roger van Zandvoort, from MacRepertory 8.2.01, Professional)

Pulsatilla was the remedy that covered all the symptoms perfectly and matched the acute picture as well. The child was given Pulsatilla 200/ 1 dose. After administering the dose, the child slept peacefully for long periods of time over 1 ½ days. His temperature gradually reduced and his appetite and thirst were better. After 1 ½ days, the child was quite better, with almost no dullness and no fever. Remedy given:

  1. Gajanan then explained Pulsatilla further by stating some symptoms from his knowledge of material medica and repertory, which he generally encountered in his practice: Answers, nod by
  2. Carried desire to be slowly
  3. Weeping answering questions
  4. Answers monosyllables
  5. Clinging children of
  6. Lamenting during fever
  7. Mildness
  8. Torpor

Also, the common physical generals of Pulsatilla we see in practice may be:

  1. Changing parosyms, no two paroxysm alike
  2. Perspiration on uncovered parts
  3. Cough, must sit up
  4. Fever thirst without
  5. Lachrymation fever during
  6. Sweat unilateral, one sided, left
  7. Feet uncover must
  8. Numbness pain from
  9. Blandness of discharges

This lecture highlighted valuable practical guidelines in approaching, analysing and treating an acute cases as well as stresses on importance of observation.

Bibliography:

Dr. Dhanipkar is a practicing physician and lecturer for various homoeopathic colleges. He has been practising successfully for past 17 years with splendid results in ‘Acute and Paediatric’ cases mainly in the district of Thane and Ambernath. He is a guest lecturer of several colleges in the state of Maharashtra. He has included a paper on ‘Study of carnivorous plants & homoeopathic understanding’ presented at the National Conference at Bhubneshwar in 2003, cases featured in various homoeopathic journals, as well as in the book ‘An Insight into Plants- Volume 3’ by Dr. Rajan Sankaran. He has been regularly teaching in the basic and advanced courses in the Sensation Method conducted by Homoeopathic Research & Charities.

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By Dr. Gajanan Dhanipkar | July 16, 2015

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